Dental Implant Outcomes in Grafted Sockets: a Systematic Review and Meta-Analysis

Objectives: To assess the treatment outcomes of the dental implants placed in the grafted sockets. Material and Methods: A search protocol was developed to evaluate the treatment outcomes of dental implants placed in the grafted sockets in terms of implant survival rates (primary outcome), margin...

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Main Authors: Ausra Ramanauskaite, Tiago Borges, Bruno Leitão Almeida, Andre Correia
Format: Article
Language:English
Published: Lithuanian University of Health Sciences, Faculty of Odontology 2019-09-01
Series:eJournal of Oral Maxillofacial Research
Subjects:
Online Access:https://www.ejomr.org/JOMR/archives/2019/3/e8/v10n3e8ht.htm
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author Ausra Ramanauskaite
Tiago Borges
Bruno Leitão Almeida
Andre Correia
author_facet Ausra Ramanauskaite
Tiago Borges
Bruno Leitão Almeida
Andre Correia
author_sort Ausra Ramanauskaite
collection DOAJ
description Objectives: To assess the treatment outcomes of the dental implants placed in the grafted sockets. Material and Methods: A search protocol was developed to evaluate the treatment outcomes of dental implants placed in the grafted sockets in terms of implant survival rates (primary outcome), marginal-bone-level (MBL) changes, clinical parameters (i.e., bleeding on probing, probing depth), occurrence of peri-implant diseases, and aesthetic outcomes (secondary outcomes). Randomized controlled clinical trials (RCTs), controlled clinical trials, and prospective studies with at least 12 months of follow-up and a minimum of 10 patients having at least one dental implant inserted into the grafted socket were conducted. MEDLINE (PubMed) was searched for relevant articles published until 1st April 2019. A meta-analysis was performed using the random-effects model on the selected qualifying articles. Results: The present analysis included 7 RCTs. The survival rate of the implants inserted into the grafted sockets ranged from 95 to 100% after 1 to 4 years of follow-up. MBL loss was found to be significantly greater for the implants placed in the non-grafted healed sites than for those placed in the previously grafted sockets (weighted mean difference = -1.961 mm, P < 0.0001). In terms of MBL changes, no difference was detected between immediately inserted implants versus implants placed in previously grafted sockets. None of the included studies reported on the clinical parameters or occurrence of peri-implant diseases. Conclusions: Implants inserted into the previously grafted sockets showed high survival rates and lower marginal-bone-level loss than the implants inserted into the non-grafted sites.
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spelling doaj-art-a4e59bbc8e4a47ab90cb5746fe1ed14e2025-08-20T03:37:03ZengLithuanian University of Health Sciences, Faculty of OdontologyeJournal of Oral Maxillofacial Research2029-283X2019-09-01103e810.5037/jomr.2019.10308Dental Implant Outcomes in Grafted Sockets: a Systematic Review and Meta-AnalysisAusra RamanauskaiteTiago BorgesBruno Leitão AlmeidaAndre CorreiaObjectives: To assess the treatment outcomes of the dental implants placed in the grafted sockets. Material and Methods: A search protocol was developed to evaluate the treatment outcomes of dental implants placed in the grafted sockets in terms of implant survival rates (primary outcome), marginal-bone-level (MBL) changes, clinical parameters (i.e., bleeding on probing, probing depth), occurrence of peri-implant diseases, and aesthetic outcomes (secondary outcomes). Randomized controlled clinical trials (RCTs), controlled clinical trials, and prospective studies with at least 12 months of follow-up and a minimum of 10 patients having at least one dental implant inserted into the grafted socket were conducted. MEDLINE (PubMed) was searched for relevant articles published until 1st April 2019. A meta-analysis was performed using the random-effects model on the selected qualifying articles. Results: The present analysis included 7 RCTs. The survival rate of the implants inserted into the grafted sockets ranged from 95 to 100% after 1 to 4 years of follow-up. MBL loss was found to be significantly greater for the implants placed in the non-grafted healed sites than for those placed in the previously grafted sockets (weighted mean difference = -1.961 mm, P < 0.0001). In terms of MBL changes, no difference was detected between immediately inserted implants versus implants placed in previously grafted sockets. None of the included studies reported on the clinical parameters or occurrence of peri-implant diseases. Conclusions: Implants inserted into the previously grafted sockets showed high survival rates and lower marginal-bone-level loss than the implants inserted into the non-grafted sites.https://www.ejomr.org/JOMR/archives/2019/3/e8/v10n3e8ht.htmalveolar bone atrophyalveolar bone graftingdental implantstooth socket
spellingShingle Ausra Ramanauskaite
Tiago Borges
Bruno Leitão Almeida
Andre Correia
Dental Implant Outcomes in Grafted Sockets: a Systematic Review and Meta-Analysis
eJournal of Oral Maxillofacial Research
alveolar bone atrophy
alveolar bone grafting
dental implants
tooth socket
title Dental Implant Outcomes in Grafted Sockets: a Systematic Review and Meta-Analysis
title_full Dental Implant Outcomes in Grafted Sockets: a Systematic Review and Meta-Analysis
title_fullStr Dental Implant Outcomes in Grafted Sockets: a Systematic Review and Meta-Analysis
title_full_unstemmed Dental Implant Outcomes in Grafted Sockets: a Systematic Review and Meta-Analysis
title_short Dental Implant Outcomes in Grafted Sockets: a Systematic Review and Meta-Analysis
title_sort dental implant outcomes in grafted sockets a systematic review and meta analysis
topic alveolar bone atrophy
alveolar bone grafting
dental implants
tooth socket
url https://www.ejomr.org/JOMR/archives/2019/3/e8/v10n3e8ht.htm
work_keys_str_mv AT ausraramanauskaite dentalimplantoutcomesingraftedsocketsasystematicreviewandmetaanalysis
AT tiagoborges dentalimplantoutcomesingraftedsocketsasystematicreviewandmetaanalysis
AT brunoleitaoalmeida dentalimplantoutcomesingraftedsocketsasystematicreviewandmetaanalysis
AT andrecorreia dentalimplantoutcomesingraftedsocketsasystematicreviewandmetaanalysis